Individual
MR. BRENT MICHAEL BUCHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2101 ELM ST, PRIMARY CARE, FARGO, ND 58102
(701) 239-3700
(701) 451-7829
Mailing address
2101 ELM ST, PRIMARY CARE, FARGO, ND 58102
(701) 239-3700
(701) 451-7829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0428
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454980
—
ND
Enumeration date
06/28/2010
Last updated
03/04/2025
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